Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRADIP PATEL MD PC

NPI: 1073867842 · PHOENIX, AZ 85023 · Internal Medicine Physician · NPI assigned 11/01/2012

$202K
Total Medicaid Paid
5,050
Total Claims
4,553
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialPATEL, PRADIP (OWNER)
NPI Enumeration Date11/01/2012

Related Entities

Other providers sharing the same authorized official: PATEL, PRADIP

ProviderCityStateTotal Paid
PRADIP D PATEL DDS INC CUDAHY CA $504K
CLEMENTON FAMILY PRACTICE & AMBULATORY CARE LINDENWOLD NJ $31K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,477 $39K
2019 1,102 $35K
2020 641 $29K
2021 488 $25K
2022 645 $36K
2023 451 $23K
2024 246 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,806 3,473 $198K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 112 102 $2K
90686 73 67 $764.85
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17 13 $633.29
90688 69 60 $606.06
94760 462 405 $148.66
82270 62 51 $85.70
G0444 Annual depression screening, 5 to 15 minutes 19 14 $9.12
G8754 Most recent diastolic blood pressure < 90 mmhg 127 106 $0.02
G8752 Most recent systolic blood pressure < 140 mmhg 129 108 $0.02
G8510 Screening for depression is documented as negative, a follow-up plan is not required 12 12 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 37 32 $0.00
G9226 Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) 18 16 $0.00
1125F 16 14 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00
G9275 Documentation that patient is a current non-tobacco user 44 38 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 35 30 $0.00